| Surgical Treatment of Perforation with Esophageal Carcinoma |
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| 作者姓名： | Depu Duan Jihua Zou Zhinang Cai Shengyong Wu Haibo Xiao Yiyong Zhou Xiang Liang Dekui Sun Songchang Wu |
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| 作者单位： | Depu Duan Jihua Zou Zhigang Cai Shengyong Wu Haibo Xiao Yiyong Zhou Xiang Liang Dekui Sun Songchang Wu Department of Cardiothoracic Surgery of No.455 Hospital of the PLA，Academic Center of Thoracic Surgery of the Nanjing Military Region，Shanghai 200052，China. |
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| 摘 要： | OBJECTIVE: To determine the ideal method of surgical preoperative treatment for perforation with esophageal carcinoma. METHODS 36 cases of. perforation with esophageal carcinoma were treated surgically in this series. Perforations occurre into the right lung in 14 cases, the mediastinum in 17 cases and trachea in 5 cases. Open thoracic surgery was performed in 34 cases, in which the right thoracic approach using a 3-incision method was applied in 16 cases, and operation by stages in, 15 cases. Of the 34 cases, retrosternal substitution of the esophagus with stomach or colon was performed in 26 cases. RESULTS Surgery was successful in 31 cases and operative death occurred in 3 cases. The postoperative follow up study was from 3-72 months. Of these cases 15 were alive at 7-12 months, 2 at 24 months, and 1 at 72 months. The results can be considered satisfactory. CONCLUSION The therapeutic results of surgical treatment of perforation with esophageal carcinoma were markedly superior to that of conventional conservative treatment. The authors suggest that surgical intervention without delay should be undertaken for patients having a perforation with carcinoma of the esophagus. A right thoracic approach with a 3-incision method (retrostemal replacement of esophagus with stomach or colon) or operation by stages is preferable.
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| 关 键 词： | 食管癌 手术治疗 穿孔技术 治疗 |
| 收稿时间： | 2006-01-25 |
| 修稿时间： | 2006-03-24 |
Surgical treatment of perforation with esophageal carcinoma |
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| Depu Duan Jihua Zou Zhinang Cai Shengyong Wu Haibo Xiao Yiyong Zhou Xiang Liang Dekui Sun Songchang Wu.Surgical Treatment of Perforation with Esophageal Carcinoma[J].Chinese Journal of Clinical Oncology,2006,3(2):126-129. |
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| Authors: | Depu Duan Jihua Zou Zhigang Cai Shengyong Wu Haibo Xiao Yiyong Zhou Xiang Liang Dekui Sun and Songchang Wu |
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| Institution: | (1) Department of Cardiothoracic Surgery of No.455 Hospital of the PLA, Academic Center of Thoracic Surgery of the Nanjing Military Region, 200052 Shanghai, China |
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| Abstract: | OBJECTIVE: To determine the ideal method of surgical preoperative treatment for perforation with esophageal carcinoma. METHODS 36 cases of. perforation with esophageal carcinoma were treated surgically in this series. Perforations occurre into the right lung in 14 cases, the mediastinum in 17 cases and trachea in 5 cases. Open thoracic surgery was performed in 34 cases, in which the right thoracic approach using a 3-incision method was applied in 16 cases, and operation by stages in, 15 cases. Of the 34 cases, retrosternal substitution of the esophagus with stomach or colon was performed in 26 cases. RESULTS Surgery was successful in 31 cases and operative death occurred in 3 cases. The postoperative follow up study was from 3-72 months. Of these cases 15 were alive at 7-12 months, 2 at 24 months, and 1 at 72 months. The results can be considered satisfactory. CONCLUSION The therapeutic results of surgical treatment of perforation with esophageal carcinoma were markedly superior to that of conventional conservative treatment. The authors suggest that surgical intervention without delay should be undertaken for patients having a perforation with carcinoma of the esophagus. A right thoracic approach with a 3-incision method (retrostemal replacement of esophagus with stomach or colon) or operation by stages is preferable. |
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| Keywords: | esophageal neoplasm esophageal perforation surgery |
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